Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629052659 Individual Practitioner Female Practitioner

Kristi Lyn Booth , OT

Speech-Language Pathologist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Kristi Booth, OT is a registered healthcare professional specializing in Speech-Language Pathologist in Boise, ID. Practice services are available at 415 E PARKCENTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 E Parkcenter Blvd
Suite 114

Boise, ID 837066504

Telephone 2084339211
Fax 2084339241
Associated Practice Facility / Clinic
🏢 Paul Bigelow Od Pc Facility NPI 1326239534

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
217 Specialists

Practicing in Boise, ID (967 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID OT495

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License WA OT00002780

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License OR 1013068

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Alia Cazier , PT

Physical Therapist

NPI 1144569336

Physical Therapist

Kelsey O'leary

Massage Therapist

NPI 1164893657
Matthew Booth , PT

Physical Therapist

NPI 1265416291

Physical Therapist

Cyndee Gooden

Physical Therapist

NPI 1265632756
Alyssa Thierer

Physical Therapy Assistant

NPI 1295306454
Shelby Hyde

Physical Therapist

NPI 1326511056

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Speech-Language Pathologist (License #OT495 in ID)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 415 E PARKCENTER BLVD, SUITE 114, BOISE, ID 837066504 (Tel: 2084339211)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 972238403 (Tel: 8002198835)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KRISTI BOOTH, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #OT495 in ID)

🟢
Initial NPI Registration & Enumeration December 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629052659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

11481 Sw Hall Blvd, Suite 201

Portland, OR 972238403

Phone: 8002198835

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.